MEDICARE: DR. STEVEN M EMMETT DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	103132	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	101031	OTHER	US HEALTH CARE
2	4060662	OTHER	AETNA
3	512791	OTHER	BLUE CROSS
4	970853	OTHER	HERITAGE
5	0381855	OTHER	CIGNA
6	P963767	OTHER	OXFORD
7	1201394	OTHER	UNITED HEALTH CARE
8	OP147	OTHER	HIP

General Provider Information

NPI Number	:	1033189030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN M EMMETT DO

Provider Business Mailing Address
First Line	:	3104 QUENTIN ROAD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4209
Country	:	US
Telephone Number	:	718-339-5544
Fax Number	:	718-339-4892

Provider Business Practice Location Address
First Line	:	3104 QUENTIN ROAD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4209
Country	:	US
Telephone Number	:	718-339-5544
Fax Number	:	718-339-4892

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	07/08/2007

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